Claims Operations Lead - Audit & Process Excellence
Verda Healthcare
Verda Healthcare, Inc. is seeking an Assistant Director, Claim Operations in Huntington Beach, CA to oversee daily claims processing and reconciliation, ensuring CMS and state compliance while supporting audits and operational excellence. This leadership role partners with Claims Operations, Compliance, Finance, IT and delegated IPAs to optimize workflows, manage risk, and drive reporting and improvement initiatives. #J-18808-Ljbffr Verda Healthcare
$146k - $180k
...by Lattice OS, an AI-powered operating system that turns thousands of... ...ABOUT THE JOB Operations Leads & Managers work directly with... ...redesigning and implementing processes, and leading high-impact... ...questionable or fraudulent outreach claiming to be from Anduril, please...ClaimsFull timeWork experience placementImmediate startAfternoon shift- ...Lattice OS, an AI-powered operating system that turns... ...accelerate the offering process for commercial-off-the... ...well with others. Excellent written and verbal communication... ...Demonstrated success leading cross-functional teams... ...fraudulent outreach claiming to be from Anduril,...ClaimsHourly payFull timeWork experience placementImmediate start
$62.67k - $75.21k
...responsible for the day-to-day operations and well‑being of the... ...Operational Excellence Manage territory profit... ...regulations. Streamline processes for operational excellence. Lead change initiatives and adopt... ...for worker's compensation claims. Conduct new hire orientations...Process ExcellenceClaimsLocal areaWeekend workAfternoon shift$138k - $172.5k
...Description As a Healthcare Process Risk Manager, you will... ...Review operational, financial, and technology... ...effectiveness. Oversee internal audit outsourcing and co‑sourcing... ...management. Lead business development activities... ...integrity, coding, claims processing, billing, reimbursement...ClaimsWork at officeLocal area3 days per week$146k - $194k
...Lattice OS, an AI-powered operating system that turns... ...role means you will help lead the business direction... ...optimizing existing processes, you will be instrumental... ...Systems & Process Excellence: Serve as a partner to... ...or fraudulent outreach claiming to be from Anduril, please...Process ExcellenceClaimsFull timeWork experience placementImmediate start$138k - $172.5k
...As a Healthcare Process Risk Manager, you will have the... ...may include: Review operational, financial, and... ...processes. Oversee internal audit outsourcing and co-... ...relationship management. Lead business development... ...revenue integrity, coding, claims processing, billing,...ClaimsInternshipSeasonal workWork at officeLocal areaFlexible hours3 days per week$96.6k - $185k
...career, KPMG provides audit, tax and advisory services... ..., rewards innovative excellence and supports our communities... ...seeking a Procurement Process Manager to join our... ...aligned to how the function operates including design and... ..., and userfriendly Lead the end-to-end change...Process ExcellenceH1bLocal area$85k - $100k
...AvonRisk is the nation's leading specialty risk... ...Hills, and AS&G Claims Administration, we... ...a people-focused, operations-driven... ...expense and vendor processing, and financial reporting... ...the annual external audit; serve as a primary... ...staff. • Advanced Excel skills (complex...ClaimsFull timeRemote work- ...role in lending services. The successful candidate will oversee loan processing efficiency, ensure compliance with policies, and enhance client experience across services. The position requires excellent communication and leadership skills, with a strong understanding of...Process Excellence
- ...skills will ensure the smooth operation of the office, allowing the... ...Ensure timely insurance claim submissions and follow up on... ...standards. · Conduct regular audits and ensure compliance with safety... ...Competencies: · Excellent communication and...ClaimsWork at officeLocal area
$112k - $149k
...Lattice OS, an AI-powered operating system that turns... ...company’s needs. If you add excellent people skills,... ...insurance (both active/new claims and renewal of these... ...support to streamline processes and roll out new features... ...platforms) Experience auditing travel transactions...Work experience placement$16.9 - $24.9 per hour
...returns are picked up and credited in a timely manner. Audit customer returns for warranty abuse and makes sure all... ..., stock, etc., as needed. Assist with customer labor claims, making sure they are processed quickly and efficiently. All other duties as assigned...ClaimsHourly payMinimum wageLocal areaFlexible hours$150k
...knowledge, and experiences you need to lead and deliver value at this level... ...e.g. refer to specific PwC tax and audit guidance) the Firm's code of conduct... ...you lead large projects, innovate processes, and maintain operational excellence while interacting with clients at a...Process ExcellenceFull timeTemporary workH1b$82.23k - $155.81k
...Validation Auditor-RN is responsible for auditing inpatient medical records to ensure clinical... ...of Diagnosis Related Group (DRG) paid claims. How you will make an impact: Analyzes... ...high quality, high value, concept and or process improvement and efficiency...ClaimsFull timeWork at officeLocal area- ...A leading claims adjusting company is seeking Independent Insurance Claims Adjusters in California. This rewarding career path offers flexibility, autonomy, and comprehensive training programs to ensure your success. You'll play a vital role in helping clients recover...ClaimsFlexible hours
$150k - $165k
...accuracy, compliance, and operational efficiency. Essential... ...and forecasting processes for individual properties... ...policy review, renewals, claims coordination, risk... ...insurance advisors Support audits, tax filings, cash... ...Yardi preferred) Advanced Excel and financial modeling...ClaimsWork at office$107.8k - $154k
...intelligence to reimagine processes, programs, and... ...closely with Customer Care operations and cross‑functional... ...Strategy & Transformation Lead development and... ...Optimization & Operational Excellence Partner with Customer... ...services, assistance with claim and billing issues,...Process ExcellenceClaimsTemporary workWork at officeLocal area$124k - $335k
...teams, and your commitment to excellence, contributes to the... ...and experiences you need to lead and deliver value at this... ...refer to specific PwC tax and audit guidance), the Firm's code... ...large projects, innovate processes, and maintain operational excellence while...Process ExcellenceFull timeH1b- ...the largest multi‑unit operators in the Club Pilates... ...grounded in operational excellence, brand consistency, and... ...building scalable processes, navigating multi‑state... ...Coordinate annual 401(k) audit activities, including... ...benefits questions and claims issues Partner with...ClaimsMinimum wageTemporary workLocal area
$99k - $130k
...Lattice OS, an AI-powered operating system that turns... ...framework, and documented to audit-ready standards. This... ...under ASC 805. Lead the annual impairment assessments... ...'s month-end close process, primarily assisting... ...or fraudulent outreach claiming to be from Anduril, please...ClaimsFull timeContract workWork experience placementImmediate start- ...Evaluate provisions for known claims and exposures with... ...Year Business Planning process, including... ...controls. Advance and lead finance initiatives supporting... ...Maintain, update, and audit the Southwest business... ...deadlines. Advanced Microsoft Excel skills managing large...ClaimsWork at office
$129k - $171k
...by Lattice OS, an AI-powered operating system that turns thousands of... ...quarterly and year-end audits and financial reporting (ASC... ...secondary sale, tender offer, or IPO process Certified Equity... ...questionable or fraudulent outreach claiming to be from Anduril, please report...ClaimsFull timeWork experience placementImmediate startRemote work- BF Construction Inc is seeking a Construction Operations Manager in Westminster, California. The role requires overseeing multiple commercial construction projects, ensuring efficient operations from preconstruction to closeout. Ideal candidates enjoy fast-paced environments...
- ...responsible for overseeing business and clinical activities. The role requires collaboration with clinical directors to enhance operational efficiency and patient care. Candidates should have a Bachelor’s degree in a relevant field, experience in dentistry, and strong...Work at office
- A prominent insurance adjusting firm is seeking Independent Insurance Claims Adjusters in Costa Mesa, California. This opportunity offers flexibility and autonomy while helping clients recover from unforeseen events. Candidates should be licensed and capable of managing...ClaimsFlexible hours
- A leading claims adjusting company is seeking Independent Insurance Claims Adjusters in California. This rewarding career path offers flexibility, autonomy, and comprehensive training programs to ensure your success. You'll play a vital role in helping clients recover...ClaimsFlexible hours
$131.91k - $224.14k
Northern Trust Corp is looking for a Manager in Business Process Management in Newport Beach, California. This role entails overseeing... ...lending services, managing loan processing efficiency, and ensuring excellent client experience. The successful candidate will demonstrate...$140k - $160k
...Materials (FBM) is a leading construction materials... ...are committed to operational excellence, innovation, and employee... ..., insurance, claims administration, analytics... ...Support contract review processes by evaluating insurance... ...necessary to support audits, regulatory inquiries...ClaimsFull timeContract workFor contractorsWork at officeLocal areaFlexible hours$190k
...Lewis Brisbois is a recognized leader in insurance coverage and claims. Our Insurance Coverage Practice focuses on interpreting... ...working with developing talented attorneys who come to us with excellent skills in any litigation arena. If you have substantive litigation...ClaimsWork at office- ...Position Title: Claims Supervisor Department... ...play a pivotal role in leading and collaborating with... ...reports, and streamline processes. You'll make impactful... ...-written Obtain audit results meets or exceeds... ...Alignment Athens operations involve handling...ClaimsTraineeshipWork at officeImmediate startRemote workMonday to FridayFlexible hoursNight shift1 day per week
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